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ROSC Management (CPG A0202)

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Stop

  • Only administer Amiodarone if VF/VT recurs

  • Total volume of N/Saline administered peri- and post arrest should not exceed 20 mL/kg unless correcting suspected hypovolaemia

  • Where cause of arrest is unclear, assume cardiac and transport to PCI capable ED where possible

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Consider PHT

  • 12-lead ECG

    • Consider PHT as per CPG A0408

  • VF/VT arrest or suspected cardiac cause or post PHT:

    • Transport to 24 hr PCI if available

    • Consider AAV vs time to closest hospital

  • Suspected non-cardiac cause:

    • Transport to closest appropriate ED

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Advanced Paramedic

  • Mx perfusion as per CPG A0407

    • Target SBP 100 mmHg

    • Max Adrenaline (Epinephrine) infusion rate 250 mcg/min

  • If unintubated and GCS < 10 post ROSC:

    • Collapse to ROSC > 10 mins, RSI as per CPG A0302

    • Collapse to ROSC <10 mins and coma persists despite oxygenation and perfusion Mx, RSI as per CPG A0302

    • Target EtCO2 30 - 40 mmHg

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Flow Chart

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